FDA Adverse Event Malfunction Summary report: N

M525 F20

MDR report key: 21155253 · Received January 15, 2025

Report

Report Number
3003974370-2025-00001
Event Type
Malfunction
Date Received
January 15, 2025
Date of Event
December 30, 2024
Report Date
February 21, 2025
Manufacturer
LEICA MICROSYSTEMS (SCHWEIZ) AG
Product Code
EPT
UDI-DI
07630003551907
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

AN INVESTIGATION OF THE INCIDENT IS CURRENTLY UNDERWAY AND A FOLLOW-UP WILL BE SUBMITTED SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE FOLLOWING INVESTIGATION.

Additional Manufacturer Narrative · 0

THIS IS A FINAL REPORT. AN INVESTIGATION REVEALED THAT THE CUSTOMER HAD USED A THIRD-PARTY BULB. IT WAS CONCLUDED THAT THE THIRD-PARTY BULB WAS INCOMPATIBLE AND RESULTED IN THE REPORTED LOSS OF ILLUMINATION (BULB BURST). THE SAFETY NOTES IN THE USER MANUAL STATE THAT ONLY ORIGINAL LEICA MICROSYSTEMS PARTS SHOULD BE USED FOR MAINTENANCE WORK. THE USER DID NOT FOLLOW THESE INSTRUCTIONS. THE LAMP WAS REPLACED AND THE SYSTEM IS NOW WORKING.

Description of Event or Problem · 0

LEICA MICROSYSTEMS (SCHWEIZ) AG RECEIVED A COMPLAINT FROM CHINA STATING THAT AN M525 F20 HAD A LOSS OF ILLUMINATION DURING A SURGICAL PROCEDURE. THERE WAS NO PATIENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2211951 M525 F20 SURGICAL MICROSCOPE EPT LEICA MICROSYSTEMS (SCHWEIZ) AG 10448284 07630003551907

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown